Individual
GLENN STEPHEN PRESCOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
8767
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000022059
BLUE SHIELD OF RHODE ISLAND
RI
01
—
0800693
UNITED HEALTHCARE
RI
01
—
180040482
RAILROAD MEDICARE
RI
01
—
29732
NEIGHBORHOOD HEALTH PLAN OF RI
RI
01
—
400075
BLUE CHIP
RI
01
—
761405
TUFTS HEALTH PLAN
RI
05
—
9020656
—
RI
Enumeration date
03/19/2007
Last updated
05/02/2008
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